Department of Integrative Bioscience & Biotechnology, Sejong University, 209 Neungdong-ro, Gwangjin-gu, Seoul 05006, Korea.
Institute for Preventive Medicine and Public Health, Hanoi Medical University, 01 Ton That Tung, Dong Da, Hanoi 100000, Vietnam.
Int J Environ Res Public Health. 2020 Sep 26;17(19):7049. doi: 10.3390/ijerph17197049.
Menopausal symptoms are associated with deterioration in physical, mental, and sexual health, lowering women's quality of life (QoL). Our study objective is to examine the effect of exercise on QoL in women with menopausal symptoms. After initially identifying 1306 studies published on PubMed, Web of Science, Scopus, and Cochrane Library before June 2020, two researchers independently selected nine randomized controlled trials (RCTs) in which any type of exercise was compared with no active treatment. We assessed the risk of bias in the included studies using the Cochrane risk-of-bias 2.0 tool for RCTs and computed the converged standardized mean difference with a 95% confidence interval. We found evidences for the positive effects of exercise on physical and psychological QoL scores in women with menopausal symptoms. However, there was no evidence for the effects of exercise on general, social, and menopause-specific QoL scores. The most common interventions for women with menopausal and urinary symptoms were yoga and pelvic floor muscle training (PFMT), respectively. In our meta-analyses, while yoga significantly improved physical QoL, its effects on general, psychological, sexual, and vasomotor symptoms QoL scores as well as the effect of PFMT on general QoL were not significant. Our findings suggest that well-designed studies are needed to confirm the effect of exercise on QoL in women with menopausal symptoms.
绝经症状与身体、心理和性健康的恶化有关，降低了女性的生活质量（QoL）。我们的研究目的是研究运动对有绝经症状的女性生活质量的影响。最初在 2020 年 6 月之前在 PubMed、Web of Science、Scopus 和 Cochrane Library 上确定了 1306 项研究后，两名研究人员独立选择了 9 项随机对照试验（RCT），其中任何类型的运动都与无积极治疗进行了比较。我们使用 Cochrane 偏倚风险工具 2.0 评估了纳入研究的偏倚风险，并计算了收敛标准化均数差值及其 95%置信区间。我们发现运动对有绝经症状的女性的身体和心理生活质量评分有积极影响的证据。然而，没有证据表明运动对一般、社会和绝经特异性生活质量评分有影响。最常见的治疗绝经和尿失禁症状的干预措施分别是瑜伽和盆底肌肉训练（PFMT）。在我们的荟萃分析中，虽然瑜伽显著改善了身体生活质量，但对一般、心理、性和血管舒缩症状生活质量评分以及 PFMT 对一般生活质量评分的影响并不显著。我们的研究结果表明，需要进行精心设计的研究来证实运动对有绝经症状的女性生活质量的影响。
